Dr. Ethan Embrey Moore is a Hattiesburg, Mississippi based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Ethan Embrey Moore is 4212-21 for General Practice Dentistry in Mississippi. His current practice location is 4216 Lincoln Rd, Hattiesburg. Patients can reach him at 601-268-3333.
Dr. Ethan Embrey Moore is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Ethan Embrey Moore speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Ethan Embrey Moore
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
4216 Lincoln Rd, Hattiesburg, Mississippi, 39402-3093
Phone:
601-268-3333
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1710555115
NPI Enumeration Date:
14 Jun, 2021
NPI Last Update On:
14 Jun, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ethan Embrey Moore are as mentioned below.
License Number
Specialization
State
Status
4212-21
General Practice Dentistry
Mississippi
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4216 Lincoln Rd, Hattiesburg, Mississippi
Zip:
39402-3093
Phone Number:
601-268-3333
Fax Number:
601-268-6666
Patients can reach Dr. Ethan Embrey Moore at 4216 Lincoln Rd, Hattiesburg, Mississippi or can call to book an appointment on 601-268-3333. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.